Provider Demographics
NPI:1841325313
Name:SILVA, LINDA JEAN (RAC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JEAN
Last Name:SILVA
Suffix:
Gender:F
Credentials:RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8805 PATTON RD
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7433
Mailing Address - Country:US
Mailing Address - Phone:215-233-1733
Mailing Address - Fax:215-233-1658
Practice Address - Street 1:8805 PATTON RD
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-7433
Practice Address - Country:US
Practice Address - Phone:215-233-1733
Practice Address - Fax:215-233-1658
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000052L171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist